HomeMy WebLinkAboutApplicationccz-fi l 1 County
108 8th Street, Suite 401, Glenwood Springs, CO 81601
Ph:970-945-8212 Fx.•970-384-3440 Inspection Line:888-868-5306
www.garlield-county.com
BUILDING PERMIT APPLICATION
1
Parcel No: (this information is available at the assessors office 970-945-9134)
•2 I-7-3361 too 19
Lot No: Block No: Subd./ Exemption:
--r 6 S 1Sw SE'/4 5 36
2
Job Address: (if an address has not been assigned, please provide CR, HWY or Street Name & City) or and legal description
5538 r_Te 309
3
Owner: (property owner)
Ku.r PROS i es
Mailing Address:
I•3 'mac I5 R)FL-E
Ph:
6..15-9a ►b
Alt Ph:
6 r g 4518
4
—S
Contractor:
Ku s7�-! s'I'�UG-ri
Mailin Address:
3,CPie i53 -o RiFLc
Ph:
6.75 _Raw
Alt Ph:
61g—?SJB
5
Manufactured home installer:
Mailing Address:
Ph:
Lic #:
6
Architect:
Mailing Address:
1218-E-
Ph:
6:25— 0590
Alt Ph:
i 0 PIM )ill ^ e.pcs
7
Engineer:
Mailing Address:
Cr-� —
PhT•
'a I s
Alt Ph:
GL woo 1 5T OLt�e-A-L
8
Sq. Ft. of Building:
r i i( — 519 00evi
Sq. Ft. or Acres of Lot: /
Height:
No. of Floors: of
9
Use of Building:
"giResidential DCommercial ❑Other
Class of Work:
DNew DAlteration %Addition IJRepair DDemo DMove
10
Describe Work:
•41L ilai.cs 1::sl aL3Pi 16. -eveerp1
RE-i'cf 1 51.7'Jllt'a[/ r ib
11
Garage:
DAttached XIDetached
Septic:
XiISDS ❑Community
Type of Heat:
❑Nat. Gas ) Propane ❑Electric DOther
12
Driveway Permit:
Owners valuation of Work:
ell-6121 b0O
Authority. 'Chia application for a Building Permit most be signed
letter of authority, signed by the Owner, oust be
Leo I Access_ A Building Pennit cannot be issued without
Other Pcrrntls. Multiple separate permits may be required:
NOTICE
by the Owner of the property, 1r'wdhed ahnve, or an authorized agent. if the signature below is not that of the Owner, a separate
provided with this Application.
pmnf of IegeI and adt:quale access to the properly Tor purposes of inspections by the Building Moan me n i.
(I) State Electrical Permit, (2) County ISDS Permit, (3) another permit required for use on the property identified above, e.g. State or
Wastewater Discharge Perntit.
work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180
CERTIFICATION
information contained above is true and correct. 1 understand that the Building Department accepts the Application. along with the plans
beltaif(subminels), based upon my certification as to accuracy.
Application. a Building Permit will be issued granting permission to me, as Owner, to cons'nrct the structure(s) and facilities detailed on
that I and my agents will comply with provisions of any federal, state or local law rcgulaling the work and the Garfield County Building
Regulation(s)). I acknowledge that the Building Permit may be suspended or revoked, upon notice from the County, if the location,
above. are not in compliance wiIh County Regulation(s) or any other applicable law.
the property, described above, to inspect the work. 1 further acknowledge that the issuance of the Building Permit does not prevent the
in the submittals, if any, discovered atter issuance; or (2) stopping construction or use of the structure(s) or facitity(ies) if such is in violation
of the work by the Building Department do not constitute an acceptance of responsibility or liability by the County of errors, omissions
for compliance with federal, state and local laws and County Regulations rest with me and my authorized agents, including without
UNDERSTAND THE NOTICE & CERTIFICATION ABOVE: Vit.)
County Highway/ Road Access or a Stale
Vold Permit. A Building Permit becomes null and void if the
days after commencement.
I hereby certify that l have read this Application and 'hat the
and specifications and other data submitted by me or on my
Assuming completeness of the submittals and approval of this
Ise submitids reviewed by the Building Depanrnent.
In consideration of'he issuance of the Building Permit. I agree
Code, ISDS regulations and applicable land use regulations (County
construction or use of tlw structures) and facility(ics), described
I hereby grant pemtission to the Building Department to enter
Building Oficial from: (1) requiring the correction of errors
of County Regulation(s) or any r . cable law.
Review of this Application, ' clod' g bmittals, and inspections
or discrepancies. As the * nawledge that responsibility
limitation my architect , •i •.• engineer and/ or builder.
1 HEREBY ACKN r ' 1..r, : THAT I HAVE READ AND
O ' ` SIGNATURE DATE
POI(
(k.[O0 55L{.q�
Special Conditions:
Adjusted Valuation:
68, 'g9.9z
Total Fees:
1281-6V
STAFF USE ONLY
Plan Check Fee:
50y_ g9
trees Paid:
Setbacks:,
/ 2$, i22,$, 5/0
BLDG DEPT:
Permit Fee:
176.7S
Balance Due:
?6.70
OCC Group:
L ,2c
Manu home Fee:
BP No & Issue Date:
`i a1-1 5.--
Const Type:
APPROVAL
DATE
PLNG DEPT:
Misc Fees:
ISDS No & Issued Date:
Zoning:
APPROVAL
DATE
GARFIELD COUNTY
Building & Planning Department
108 8th Street, Suite 401
Glenwood Springs, Colorado 81601
Telephone: 970.945.8212 Facsimile: 970.384.3470
www.garfield-county.corn
SINGLE FAMILY OR DUPLEX BUILDING PERMIT
NOTE: In order to understand the scope of work intended and to expedite the issuance of a permit, it is
important that complete information be provided. Please review this document to determine if you have
adequate information to design your project and to facilitate a plan review.
SINGLE FAMILY OR DUPLEX BUILDING PERMIT APPLICATION CHECKLIST
This checklist is to be used with all single family dwelling construction.
APPLICATION FORM: Please make sure the following information is provided on the application.
Parcel number obtained from the County Assessor's Office.
Job address (assigned physical address)
Legal Description: lot, block, filing, subdivision or tract, section, township and range.
Owners name, mailing address, phone, fax, or cell.
Contactors name, mailing address, phone, fax, or cell.
Architect/Engineer's name, mailing address, phone, fax or cell.
Building size, height, number of stories, lot size.
Use of building (residential)
Class of Work (new, addition, alteration, repair, demo, move, other)
Description of work.
Type of heating (natural gas, propane, electric, other).
Sewer system (Community or ISDS), also see other items below.
Garage (attached or detached).
Driveway permit (please see other items below)
Valuation (labor and materials) see attached worksheet.
OTHER ITEMS:
If you anticipate obtaining a water -tap from the City of Rifle, please provide a letter indicating that
the City will provide water service. (Required to submit building permit application).
ISDS requires a septic permit application to be submitted with the building permit application.
A separate electrical permit must be obtained from the State of Colorado Electrical Board.
Prior to submittal of a building permit, you are required to show proof of legal and adequate
access to the site. This may include proof of right to use a private easement, County Road &
Bridge permit, or Colorado Department of Highway permit, including a Notice to Proceed. The
County Road & Bridge Department can be reached at 970-625-8601.
If you anticipate excavating or grading prior to issuance of a building permit, you will be required
to obtain a separate grading permit.
If you belong to a Homeowners Association (HOA), it is your responsibility to obtain written
approval, if required.
Provide copies of any Resolutions and/or Land Use Permits associated with this property.
Additional Dwelling Units may require Administrative Review.
Minimum dwelling dimension is 20 ft wide x 20 feet long.
A Colorado State Licensed Electrician and Plumber must perform installation and hook-ups,
unless the homeowner is performing the work.
BUILDING PLANS: Two (2) sets of plans must be submitted. Plans must be 18"x24" minimum size,
complete, identical, legible, and to scale. All plans will be checked at the counter for completeness. If any
of the required information is missing, the building permit application cannot be accepted.
SITE PLAN: Please make sure the following information is provided on the site plan.
Property address/legal description.
North Arrow and Scale on each page.
Show all property lines, building envelopes, flood plain, and easements.
Provide setback distances from boundaries, buildings, septic, well, and waterways.
Location and direction of the county or private road and driveway accessing the property.
Proposed and existing structures include sheds, barns, decks, patios, and any other buildings.
Existing and proposed grade, positive drainage around structure (to be contained on site).
Streams, rivers, creeks, springs, ponds and ditches.
Existing and proposed wells, septic tanks, leach fields, and other systems. (if applicable)
Retaining walls (engineer stamped detail required for walls over four (4) ft, measured from bottom
of footing to top of wall).
NOTE: Any site plan depicting the placement of any portion of the structure within fifty (50) feet of a
property line or not within an established building envelope shall be prepared, stamped, and signed by a
licensed surveyor. For structures to be built within a building envelope, provide a copy of the recorded
subdivision final plat with the proposed structure located in the building envelope.
ARCHITECTURAL PLANS: Please provide the following information on the architectural plans.
Minimum four (4) elevations (N,S,E,W) Indicate height of building measured from existing grade
to the midpoint between the ridge and eave of a gable or shed roof or to the top of a flat roof.
Floor plans for each level including dimensions and scale noted.
Clearly label each room or space (bedroom, bath, kitchen, closet, etc).
Show the location of the mechanical equipment.
Building cross sections with construction details.
Window sizes, types, and operation noted on the floor plans or elevations.
Specify roof slope/pitch, roof covering, and siding materials.
Stair and guard details specifying rise, run, height and spacing.
Attic, roof, and crawlspace ventilation details. Indicate size and location of ventilation openings.
Minimum insulation shown for walls, floors, roofs/ceilings, slabs, basements and crawlspaces.
Provide stove and fireplace make, model, EPA or Colorado Phase II Certification. Masonry
fireplaces shall be designed to the International Residential Code (IRC) requirements.
STRUCTURAL PLANS: Please provide the following information on the structural plans.
Design specifications to include roof and deck snow load, wind and seismic design, frost depth.
Foundation plan showing complete footing and foundation dimensions.
Footing and foundation details specifying reinforcement and referenced on plans.
Framing plans for each floor level and roof. All beams, columns, joists, rafters, and trusses
specified. Pre -manufactured structures require the engineers stamp, signature, and date.
Framing /connection details, braced wall lines, shear wall schedule, location and hold downs.
NOTE: If any required information is missing, delays in issuing the permit are to be expected. If
determined by the Building Official that additional information is necessary to review the application
and/or plans for compliance, the application may be placed on hold until the required information is
provided. Work may not proceed without the issuance of a permit.
The budding department will collect a Plan Review fee at time of application submittal. The permit fee, as
well as any Septic or Road Impact fees will be collected when the permit is issued.
The permit application must be signed by the owner or by person having written authority from the owner
to act as their representative.
Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a
CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO
inspection requirements will be attached to your approved field set of plans.)
I hereby acknowledge lila a ad, understand, and will abide by the requirements of this
checklist.
91) YIr�
Signature of ewner Date
Garfield County Building & Planning
108 8th Street, Suite 401
Glenwood Springs, CO 81601
Phone: 970-945-8212 Fax: 970-384-3470
www.garfield-countv.com
VALUATION FEE DETERMINATION
Applicant Kuersten Properties, LLC Subdivision
Address 5338 CR 309 Parachute Lot/Block
Date 5/2/2012 Contractor
Finished (Livable Area):
Main 519 sq.ft
Upper sq.ft
Lower sq.ft
Other sq.ft X $74.68
Total Square Feet 519 sq.ft
Total Valuation
Basement:
Unfmished
Conversion of Unfinished to Finished
Other
Total Valuation
Garage/Storage (wood framed)
Conversion of garage to finished living
Carport
Other
Total Valuation
Crawl Space
Total
Valuation
Decks/ Patios/Porches
Covered
Open
Other
Total Valuation
Type of Construction:
Occupancy:
Total Valuation
Total Valuation
1200
sq.ft X $41.00
sq.ft X $33.68
sq.ft X
sq.ftX $18.00
sq.ft X $56.68
sq.ftX $12.00
sq.ft X
519 sq.ft X $9.00
60
160
sq.ft X $24.00
sq.ftX $12.00
sq.ft X
Commercial
sf X
sf X
sf X
sf X
sf X
sf X
N/A
N/A
Kuersten Construction
38,758.92
0.00
21,600.00
4,671.00
3,360.00
0.00
68,389.92
Building Plan Review
Description of Work: Add master bedroom and bath, re -roof, siding/exterior.
Bin #:
Location Address: 5338 CR 309
PARACHUTE, CO 81635
General Information
Case Manager: David Bartholomew
Plan Case Number: BLDG -4-12-7234
Parcel: 217336400014
Application Date: 04/24/2012
Owner: Kuersten Properties, LLC
Applicant: Kuersten Properties, LLC
Applicant Phone: (970)625-8210 Email:
Building
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setbacks
Grade/Topography 30%
Attach Residential Plan Review List Road Impact Fees
Minimum Application Questionnare HDA/DRC Approval
Subdivision Plat Notes Grade/Topography 40%
Fire Department Review Planning Issues
Valuation Determination/Fees Subdivision Plat
Red Line Plans/Stamps/Sticker General Comments:
Planning/Zoning
Property Line Setbacks
30ft Stream Setbacks
Flood Plain
Building height
zoning Sign -off
Attach Conditions
Application Signed
'Ian Reviewer To Sign Application
Parcel/Schedule No.
40# Snowload Letter - Manu. Homes
Soils Report
Wednesday, May 2, 2012